Application of Double-Balloon Endoscopy for Afferent Limb Lesions of Roux-en-Y Surgical Anastomoses

Satō, Hiroyuki; Yamamoto, Hironori; Tamada, Kiichi; Kita, Hiroto; Wada, Shinichi; Sunada, Keijiro; Tano, Shigeo; Hayashi, Yoshikazu; Sato, Yukihiro; Yano, Tomonori; Hanatsuka, Kazunobu; Ajibe, Hironari; Hachimori, Hisashi; Takamatsu, Tohru; Ito, Katsunori; Shinozaki, Satoshi; Iwamoto, Michiko; Miyata, Tomohiko; Kuno, Akiko; Tomiyama, Takeshi; Ido, Kenichi; Sugano, Kentaro

doi:10.1016/s0016-5107(05)01289-7

Cited by 17 publications

(7 citation statements)

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“…The ability to advance the scope may be limited in patients with postoperative adhesions [9]. The length of the roux and the biliopancreatic limbs was not reported for these patients.…”

Section: Discussionmentioning

confidence: 93%

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

2011

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The findings demonstrate that gastric bypass patients with biliary pain can be successfully evaluated endoscopically by laparoscopic transgastric ERCP for sphincter of Oddi dysfunction. The rate for technical success and complications does not appear to be significantly greater than for standard ERCP. A few helpful techniques were noted during this experience. Comparison of efficacy with that of a prior study was limited.

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“…The ability to advance the scope may be limited in patients with postoperative adhesions [9]. The length of the roux and the biliopancreatic limbs was not reported for these patients.…”

Section: Discussionmentioning

confidence: 93%

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

2011

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“…Double-balloon enteroscopy was performed by standard technique using the Fujinon DBE enteroscope (working length, 2.30 m), starting in left lateral position and then changing to the prone position, as described by Yamamoto et al [6,8,9,15]. At times, manual compression to guide the push-and-pull enteroscope in the abdomen and radiography was necessary.…”

Section: Double-balloon Enteroscopymentioning

confidence: 99%

“…With the introduction of balloon-assisted endoscopy, by either single-or double-balloon endoscopy (DBE) [6][7][8], enteroscopic techniques further improved, and performance of various interventions within the afferent limb or at biliary enteroanastomoses has recently been reported [7][8][9][10][11]. Therefore, a stepwise endoscopic approach was investigated in a postoperative cohort of 24 consecutive patients from 2006 to 2008 with nonmalignant strictured biliodigestive anastomosis using first conventional endoscopes and push enteroscopy (PE), followed in case of failure by an attempted DBE.…”

mentioning

confidence: 99%

Modern enteroscopic interventions and characterization of nonmalignant postsurgical biliary anastomosis by double-balloon endoscopy

et al. 2011

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“…Another benefit of DBE is its usefulness in reaching the afferent limb after Roux-en-Y surgical anastomoses. Of 8 patients that had DBE for access to the afferent limb, 6 underwent successful ERCP, and afferent limb lesions were biopsied (n = 1) and resected by EMR (n = 1) [102].…”

Section: On the Horizon (2000s)mentioning

confidence: 99%

The role of the surgeon in the evolution of flexible endoscopy

et al. 2006

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Several cultures, including the Egyptians, Greeks, Romans, and Arabs, made attempts to view accessible human body cavities using a variety of instruments such as spatulas and specula. The first endoscope was created in 1806 when Phillip Bozzini, a German-born urologist, constructed the lichtleiter, which used concave mirrors to reflect candlelight through an open tube into the esophagus, bladder, or rectum. Maximilian Carl-Friedrich Nitze, another German urologist, produced the first usable cystoscope in 1877 by using series of lenses to increase magnification. He was also the first to place light inside the organ of interest to aid visualization. In 1880 Mikulicz made the first gastroscope using a system similar to Nitze's cystoscope. Modern endoscopy was born with the introduction of the fiberoptic endoscope in the late 1950s. Over the ensuing 50 years endoscopy revolutionized many aspects of the surgeon's practice. Endoscopy can now be used to diagnose and often treat gastrointestinal cancer, hemorrhage, obstruction, and inflammatory conditions. This review was initiated by the SAGES Flexible Endoscopy Committee to chronicle the role of the surgeon in the development and introduction of flexible endoscopy into clinical practice, historically and in contemporary surgery. Flexible endoscopy evolved out of surgeons' need to overcome diagnostic and therapeutic challenges. There have been many recent technological advances that facilitate endoluminal therapies, and flexible endoscopy is now traversing new ground. Surgeons have been major contributors in the development of all aspects of endoscopy. There is a continually expanding list of therapeutic options available to patients. The difficult questions of which procedure, on which patient, and when can be answered best by the surgeon versed in endoscopic, laparoscopic, and open surgical techniques.

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Application of Double-Balloon Endoscopy for Afferent Limb Lesions of Roux-en-Y Surgical Anastomoses

Cited by 17 publications

References 0 publications

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

Laparoscopic transgastric endoscopic retrograde cholangiopancreatography (ERCP) after gastric bypass: case series and a description of technique

Modern enteroscopic interventions and characterization of nonmalignant postsurgical biliary anastomosis by double-balloon endoscopy

The role of the surgeon in the evolution of flexible endoscopy

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